Table 13A: National Home and Community-Based Services Population

Assessing the Health and Welfare of the HCBS Population

Table 13: Outcome Indicators by Key Attributes of State Medicaid and Long-Term Care Environment, 2005a

Select for:

Outcome IndicatorNo Medically Needy ProgramMore Restrictive Eligibility CriteriaLess Restrictive Eligibility CriteriaNursing Home Level of Care Eligibility Criteria for HCBSPercentage of State LTC Funds Spent on HCBS
Short-Term Complications of Diabetes376319222534271215251344
Asthma or Chronic Obstructive Pulmonary Disease5,0294,0373,1804,1963,9543,0703,4014,560
Congestive Heart Failure5,9315,7244,2365,8075,5144,2754,4086,215
Composite: Potentially Preventable Infection9,9128,9736,3329,4028,7696,5627,0609,488
    Bacterial Pneumonia6,1415,3494,0015,4485,3074,1814,4575,636
    Urinary Tract Infection3,7713,6242,3313,9533,4622,3812,6023,851
Infection Due to Device or Implant925851594930812652658904
Composite: ACSC Chronic Conditions14,22512,8659,98613,64812,3859,65210,48914,025
Composite: ACSC Acute Conditions9,2178,1365,7638,3168,1035,9456,4768,625
Composite: ACSC Overall23,43921,00015,74821,96320,48615,59616,96522,647
Pressure Ulcer4,0103,9252,8534,1753,8542,5472,9614,271
Injurious Falls396318235265370246243380


ACSC = ambulatory care-sensitive condition; HCBS = home and community-based services; I/DD = intellectual and development disabilities; SMI = serious mental illness; LTC = long-term care.

a. All outcome indicators expressed as potentially avoidable hospital stays per 100,000 persons in the HCBS population. HCBS population for outcome indicators excludes: individuals under age 18; people with only institutional use in a given quarter; people on managed care plans; and persons in the States of Arizona, Maine, Washington, and Wisconsin.

Dually eligible = dually eligible for Medicaid and Medicare. Eligibility for Medicare defined as inclusion in Medicare denominator file.

Medicaid only = part of Medicaid HCBS population but not enrolled in Medicare.

HCBS subpopulations of I/DD, SMI, Under 65 Without I/DD or SMI, and 65+ are defined as in the Appendix.

Median is defined as the value at which half of States are below and half of States are above.

Source for Outcome Indicators: Agency for Healthcare Research and Quality (AHRQ), Medicaid Analytic eXtract (MAX) data, and Medicare Provider Analysis and Review (MedPAR) data.

Sources for column heading data are described in the Appendix.

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Page last reviewed December 2012
Internet Citation: Table 13A: National Home and Community-Based Services Population: Assessing the Health and Welfare of the HCBS Population. December 2012. Agency for Healthcare Research and Quality, Rockville, MD.